CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Wooster Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $30
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Wooster Community Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.79x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$16.8

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $16.8 (100%)
Cash / Self-Pay: $35 (208%)
Insurance Median: $30 (179%)
Cash: $35 (208% of Medicare)
Ins. Median: $30 (179% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $16.8 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $12 - $20 71%
Aultcare/Primecare Mcr Adv $16 - $48 95%
Tricare $16 95%
Buckeye Mcare $17 101%
Caresource Mcr Adv $17 101%
Humana $17 - $93 101%
Med Mutual Of Oh Mcr $17 101%
Molina Mcr $17 101%
Summacare Mcr $17 101%
The Health Plan Mcr Adv $17 101%
UnitedHealthcare $17 - $94 101%
Valor Hp Mcr-All Plans $17 101%
Buckeye Mcaid-All Other Plans $19 113%
Caresource Mcaid $19 113%
Aetna $20 - $99 119%
Amerihealth Mcaid-All Plans $20 119%
Molina Mcaid $20 119%
Magnipower-All Plans $22 131%
Cerco-All Plans $23 - $69 137%
Caresource Exch - All Other Plans $24 143%
Aultcare Wayne County $25 - $74 149%
Aultcare/Primetime Exch $25 - $74 149%
Rayco-All Plans $25 - $74 149%
Christian Health Ministries-All Plans $27 - $79 161%
Cigna $27 - $79 161%
Health Ohio Network Employer $27 - $79 161%
Wayne County-All Plans $27 - $79 161%
Health Ohio Network Ppo-All Other Plans $28 - $84 167%
Healthsmart Accel $28 - $82 167%
Healthsmart Complete Ppo-All Other Plans $28 - $84 167%
Ohio Health Choice Supp $28 - $84 167%
Ohio Health Group Hlthy - All Other Plans $28 - $84 167%
Summacare Preferred Choice $28 - $82 167%
Health Plan Of Upper Ohio-All Plans $29 - $87 173%
Med Mutual Of Oh Exchange $29 - $85 173%
Med Mutual Of Oh Supermed $29 - $85 173%
Med Mutual Of Oh Trad-All Other Plans $29 - $85 173%
Molina Marketplace - All Other Plans $29 173%
The Health Plan Comm - All Other Plans $29 - $87 173%
Aultcare/Primetime-All Other Plans $30 - $89 179%
Healthsmart Ppo $30 - $90 179%
Ohio Health Group Pref $30 - $88 179%
Ohio Health Choice-All Other Plans $31 - $93 185%
Summacare-All Other Plans $31 - $92 185%
Beech Street-All Plans $32 - $96 190%
Central Benefits-All Plans $32 - $95 190%
First Health-All Plans $32 - $95 190%
Flora-All Plans $32 - $95 190%
Healthsmart Hpo $32 - $94 190%
Osu-All Plans $32 - $94 190%
Phcs-All Plans $32 - $96 190%
Clarity Health - All Plans $33 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals